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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Family mutuality enhances the family resilience of colorectal cancer patients through positive family functioning.

Mengwei Shao, Yanyan Xue, Menghan Zhang, Huiyue Zhou, Bin Ma, Kun Wang, Yi Yang, Lulu Yu, Chengjuan Zhang, Ming Li and 2 more

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Mengwei Shao *School of Nursing and Rehabilitation, Shandong University, Jinan, 250012, China.ORCID http://orcid.org/0009-0000-4721-7547
Yanyan Xue *Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
Menghan ZhangThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Huiyue ZhouThe Ninth People's Hospital of Zhengzhou, Zhengzhou, 450053, China.
Bin MaSchool of Medical, Molecular and Forensic Sciences, Murdoch University, Murdoch, 6149, Australia.
Kun WangThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Yi YangThe College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China.
Lulu YuThe College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China.
Chengjuan ZhangCentre of Bio-Repository, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, 450001, China.
Ming LiSchool of Nursing and Rehabilitation, Shandong University, Jinan, 250012, China. liming74@sdu.edu.cn.
Changying ChenThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China. changying@zzu.edu.cn.
Tao WangThe College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China. wangtaomary@zzu.edu.cn.

Funding

China Postdoctoral Science Foundation in 2018 2018M630839National Natural Science Foundation of China National Natural Science Foundation of China (No.82101505)
6 · The paper itself

Abstract

aimsTo elucidate the influencing factors of family resilience among postoperative colorectal cancer (CRC) patients and how family resilience is affected by family function and mutuality.

methodsIn this cross-sectional study, 216 postoperative CRC patients were recruited from two Hospitals in Henan Province, China, between February and July 2023. First, we examined the impact of sociodemographic and disease-related factors on family resilience using t-tests, one-way ANOVA, and post hoc comparisons. Given the importance of family coping capacity in postoperative outcomes, we further assessed family resilience, function, and mutuality using the Family Resilience Questionnaire, the Family APGAR Scale (Adaptation, Partnership, Growth, Affection, Resolve), and the Mutuality Scale. Finally, we examined the interactions among the three variables through Pearson correlation and the SPSS PROCESS macro.

resultsSix factors were identified as being associated with family resilience among families of postoperative CRC patients, i.e., postoperative duration, education level, marital status, working status, family income, and stoma status. Family resilience was positively correlated with mutuality (r = 0.170 ~ 0.473, p < 0.05) and family function (r = 0.135 ~ 0.451, p < 0.05). Moreover, healthy family mutuality enhanced family resilience, with its effectiveness moderated by family function.

conclusionsBeyond sociodemographic and disease-related factors, this study explored family resilience in CRC patient families from a broader perspective by examining its interaction with family function and mutuality. Our results suggest that healthcare professionals should assess family resilience not only at the individual level but also from the perspective of the whole family, to develop effective interventions that strengthen families' coping and adaptive capacities during postoperative cancer care.

Indexed as

Colorectal NeoplasmsFamilyFamily RelationsResilience, PsychologicalAdaptation, PsychologicalAdultAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesCancer managementColorectal cancerFamily functionFamily resilienceMutuality

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.